| Location | WFH State of Oklahoma, OK |
| Job Type | Full-time |
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Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment.
SHIFT: M-F, Days. Will need to be on-site as needed, at least monthly.
**Ideal candidate will have experience in pre-visit services for multiple areas, working with authorizations.**
General Description
Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules.
Essential Job Duties
Submit prior authorization requests using standard payer workflows.
Verify basic benefits, coverage, and authorization requirements.
Track authorization status and update Epic accurately.
Escalate incomplete or non‑standard cases per protocol.
Collaborate with departments across the organization.
General Job Duties
Performs other duties as assigned
Minimum Requirements (Level 1)
Education: High School Diploma or GED required.
Certification/License/Registration: None required.
Experience: No experience required.
Minimum Requirements (Level 2)
Education: High School Diploma or GED required.
Experience: At least 3 years of prior authorization experience required.
Certification/License/Registration: CHAA or PACS required after 1 year.
Minimum Requirements (Level 3)
Education: High School Diploma or GED required.
Experience: At least 5 years of prior authorization experience required.
Certification/License/Registration: CHAA or PACS required.
Knowledge, Skills & Abilities
Foundational understanding of payer types and referral/authorization concepts.
Ability to follow standardized workflows and documentation requirements.
Developing proficiency in Epic and payer portals.
Accuracy, timeliness, and compliance focus.
Good written and verbal communication skills
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